Individual
MARY JULIE CROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
000124
CT
367A00000X
Advanced Practice Midwife
Primary
000158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000124
CONNECTICARE
CT
01
—
00195491003
UHC
CA
05
—
004180452
—
CT
01
—
004180452-00
ANTHEM
CT
01
—
0508566
CIGNA
CT
01
—
OV6320
HEALTHNET
CT
01
—
P1904733
OXFORD
CT
Enumeration date
01/31/2006
Last updated
05/01/2012
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